2005 MNPS Annual Conference Registration Form

Name	__________________________________________________
Street	__________________________________________________
City	__________________________________________________
State	______	Zip Code	__________	County	_______________
Daytime Phone	__________________________________________________
Evening Phone	__________________________________________________
E-mail	__________________________________________________

Conference Fees

Native Plant Society Members *	$50
Non-members	$65
Discount (if registered before September 17)	$ 5
Dinner & Social	$25

Meal Options

Lunch (included, choose one)	____ Vegetarian
	____ Regular
Dinner & Social (choose one if attending Social)	____ Vegetarian
	____ Crab Balls
	____ Chicken

Payment

Registration Fee	__________
Dinner & Social	__________
Membership Dues	__________
Additional Tax-Deductible Donation	__________
Total Enclosed	__________

____ Please reserve a free copy of The Vascular Flora of Loch Raven Watershed for me, courtesy of the City of Baltimore Reservoir Natural Resources Division (100 pages - for serious botanists).

Membership Dues: ____ New ____ Renewal
Membership is for 12 months.

• ____ $15  Student/Limited Income
• ____ $25  Individual
• ____ $35  Double: _____ 2nd Member Name: _________________
• ____ $50  Institutional
• ____ $250 Lifetime
• ____ Do not list me in membership directory.
• ____ Do not send me email announcements.

Please include me on the MNPS providers list as a:

• ____ native plant propagator or grower
• ____ native plant supplier
• ____ native plant landscape or garden professional

Please make checks payable to Maryland Native Plant Society and mail to:

* MNPS allows members of other Native Plant Societies to register at MNPS member's rate. Please consider supporting MNPS.